Treatment of Radius or Ulna Diaphysis Atrophic Non-Unions with Corticocancellous Autograft and Intramedullary Nailing
Yazarlar (6)
Ahmet Köse
Doç. Dr. Murat TOPAL Kastamonu Üniversitesi, Türkiye
Prof. Dr. Ali Aydın Atatürk Üniversitesi, Türkiye
Prof. Dr. Naci Ezirmik Atatürk Üniversitesi, Türkiye
Prof. Dr. Ömer Selim Yıldırım Atatürk Üniversitesi, Türkiye
Muhammed Salih Ayas
| Makale Türü |
Özgün Makale
(Ulusal alan endekslerinde (TR Dizin, ULAKBİM) yayınlanan tam makale)
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| Dergi Adı | Hand and Microsurgery | ||
| Dergi ISSN | 2458-7834 | ||
| Dergi Tarandığı Indeksler | TR DİZİN | ||
| Makale Dili | Türkçe | Basım Tarihi | 09-2019 |
| Cilt / Sayı / Sayfa | 8 / 3 / 1–150 | DOI | 10.5455/handmicrosurg.36294 |
| Makale Linki | https://www.ejmanager.com/fulltextpdf.php?mno=36294 | ||
| UAK Araştırma Alanları |
Ortopedi ve Travmatoloji
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| Özet |
| Aim The purpose of this study was to present the functional and radiological results of tricortical cancellous iliac winggrafting and intramedullary nailing performed with the modified Nicoll’s method for the treatment of cases with radius or ulnaatrophic non-union.Methods The study which is a retrospective clinical study, included 12 patients (8 ulnas, 4 radiuses) with atrophic non-unionas a result of plate-screw osteosynthesis applied for a radius or ulna diaphyseal shaft fractures. Fixation was made withtricorticocancellous autograft and intramedullary nailing with the modified Nicoll's method. In the functional and radiologicalevaluation, a visual analog scale, grip strengths, the Grace-Eversmann scale and the DASH score were used. Forearmpronation and supination and elbow flexion and extension angles were evaluated with goniometer.Results The patients were comprised of 8 (66.7%) males and 4 (33.3%) females All the patients were followed up formean 40.5 months (range, 12-84 months). Graft incorporation and remodeling was observed in all patients. According to theGrace-Eversmann scores, 9 patients were evaluated as excellent and 3 as good. Overall, the mean DASH score was 15.5and the mean VAS score was 1.5. There were no complications about the donor site of the autogenous iliac graft.Conclusion In cases of isolated radius and ulna non-union with a bone defect (gap) of <2.5cm, the tricorticocancellousautografting and intramedullary nailing with a modified Nicoll’s method is a safe treatment method which provides more rigidfixation, does not require prolonged immobilization and allows early rehabilitation. |
| Anahtar Kelimeler |
BM Sürdürülebilir Kalkınma Amaçları
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| Google Scholar | 1 |